oxycontin = oxycodone, continuous release?

Discussion in 'Fibromyalgia Main Forum' started by Jen F, Jul 6, 2003.

  1. Jen F

    Jen F New Member

    Is that right?

    anyone who reacted badly to tylenol with codeine, but not to oxycontin?

    oxycontin vs percodan? what differences and how did they affect you?

    thanks.

    I find I have to do all my own research, gp knows little and does not seem to be too interested in solving my pain problems, he doesn't realize how much the pain has interfered with my life lately and makes me more suicidal.

    Once I understand pain meds more, I can then go to next step and find out how much they cost, are they covered by my plan and that way I can know which ones to request from my doctor. I also need to plan in advance and phone the pharmacy at my doctors clinic to know which they have in stock so I can also plan where I will need to go to fill whatever scrip doc gives me.

    doing all this helps me to go back to doc less [cause he doesn't know how much the medications are going to cost me or whether they are covered when he writes me a scrip!] and helps me conserve my energy when it comes to filling the scrip. I like brand names when it comes to some things and the pharmacist in doc's office tends not to carry brand if generic avail. So, it's helpful to know if other drugstores nearby DO have what I'm looking for. Don't want to go to 4 diff drugstores like I did looking for brand name Flexeril and having to settle for the generic in the end anyways at another pharmacy!

    Would have rather given my usual pharmacist the business since he is so helpful to me plus could have saved myself some walking, waiting and a total of 1 or more hours of time.

    thanks for any replies.

    jen
  2. Jen F

    Jen F New Member

    thanks for that clarification packman, tho it is all very confusing to me!!!

    percodan, vicodin, oxycodone, codeine, MS Contin, morphine, percoset, ultram, tora..something, trama?something

    some are different names of same thing, I think I need a drug book...don't I
  3. Jen F

    Jen F New Member

    What DO you find works for moderate to severe pain with you that doesn't make you sick?

    I have been reacting to the codeine in Tyl3, and am wondering if that means a very good chance same thing would happen with oxycontin.

    thanks

    Jen
  4. Jen F

    Jen F New Member

    Oxycodone seems to be SIMILAR to heroin and morphine.

    did a google search and here's a result talking about abusers snorting or injecting oxycontin:

    OxyContin

    Indications and Usage: narcotic painkiller

    Discussion:
    The maker of the widely abused narcotic painkiller OxyContin knew that other companies had used a chemical safeguard to reduce misuse of their products but decided not to take similar steps before marketing the drug, company officials said yesterday.

    Officials of the manufacturer, Purdue Pharma, said in statements over the weekend that they had not expected abusers to crush the powerful drug and then inject or snort it so they had not initially considered adding a compound that blocks the drug's narcotic effect when it is taken those ways.

    Over the last two years, OxyContin has been cited as a factor in more than 100 overdose deaths nationwide, and people desperate for the drug have been involved in pharmacy robberies and other crimes.
    But even before OxyContin was first sold in 1995, some companies found that some of their products had become popular with drug abusers, and a few manufacturers moved promptly to reformulate those products with antagonists.

    Purdue Pharma wasn't aware of significant problems with OxyContin abuse until April 2000, when a front-page article in The Bangor Daily News, claiming that OxyContin "is quickly becoming the recreational drug of choice in Maine," landed on the desk of Purdue's senior medical director, Dr. J. David Haddox. In the summer of 2000, the company formed a response team, made up of medical personnel, public relations specialists and two of the company's top executives, which has guided the company's OxyContin campaign ever since.

    What Paula calls "that oxy buzz" comes from OxyContin's only active ingredient: oxycodone, an opioid, or synthetic opiate, developed in a German laboratory in 1916. Chemically, it is a close relative of every other opium derivative and synthetic: heroin, morphine, codeine, fentanyl, methadone. The narcotic effects that Paula is describing are the exact same ones that have drawn people to opiates for centuries. And just as every opiate does, oxycodone creates a physical dependence in most of its users and a powerful addiction in some of them.

    In many ways, the spread of OxyContin abuse closely resembles another recent drug epidemic. In the early 1990's, the Medellin and Cali cartels controlled cocaine and heroin distribution in the United States. Cocaine was selling well, but there was a marketing problem with heroin: it could only be injected, and many people, even frequent drug abusers, are reluctant to stick needles in their arms.

    The Colombians' solution to this problem was to increase the purity of the heroin they were bringing into the United States until it was potent enough to snort. They were then able to use their existing cocaine-trafficking network in the Eastern United States to get heroin onto the street in powder form. Cocaine users, who were used to the idea of buying and snorting a white powder, experimented and became addicted. As their tolerance increased, these new heroin snorters overcame their aversion to needles and soon turned into heroin injectors.

    Similarly, there were plenty of oxycodone users in Appalachia before OxyContin came along. Many of the OxyContin addicts I spoke to in Kentucky and West Virginia used to snort or chew a mild oxycodone-based painkiller called Tylox. They said they found the pills somewhat euphoric and not very addictive -- each Tylox contains just 5 milligrams of oxycodone, along with 500 milligrams of acetaminophen. When OxyContin arrived on the scene, in pills containing 20, 40 and 80 milligrams of oxycodone, it marked a jump in purity similar to that of early-90's heroin -- and again, casual users started snorting, and then shooting, a powerful opioid.

    Purdue Pharma believed that OxyContin's time-release function would mean a much lower risk of addiction than other opioid medications. According to a principle known as the "rate hypothesis," the rate at which an opioid enters the brain determines its euphoric effect, and also its addiction potential. This is why injecting a narcotic produces a more powerful high, and addiction risk, than snorting it or swallowing it. Because OxyContin, taken whole, provides a steady flow of oxycodone over an extended period, the high it produces is diminished, as is the risk of addiction.

    OxyContin (oxycodone HCl)

  5. Therrell

    Therrell New Member

    You have it backwards. Oxycontin is a time released codeine. It does not have as much tylenol in it as Percocet or Tylenol II., which is tylenol and some codeine. Percocet is a higher amount of Codeine, and tylenol, than is in Tylenol II.(as it is called) or tylenol with codeine. If you look them up on the internet you can find out the difference in Percocet and Percodan, I'm not sure the difference in Percadan and Percocet. I am sure that Oxycontin is not morphine. I was taking Percocet and was changed to Oxycotin to keep from getting too much Tylenol. You know it can be dangerous if you get too much. I'm not a doctor, nor a pharmecist, but the time released is the Oxycotin.
  6. Jen F

    Jen F New Member

    This stuff is rather complicated.

    I don't think oxycontin is actually codeine. I think it is RELATED to codeine or a codeine derivative, but is not exactly the same as the codeine in Tylenol 3, if i understand my research correctly.

    by the way, the difference between percoset and percodan, iirc, is one has acetominophen [set] and the other aspirin or ibuprofen, I can't remember, but the percoset is acetominophen and oxycodone -- I am on it right now.
  7. Jen F

    Jen F New Member

    if i recall correctly. Mixed with aspirin probably, with an ending like "in"

    It is all so confusing isnt' it?

    And imagine with me trying to sort all this out, I also have to try to keep track of what is covered by my plan, what is not and if not, HOW MUCH DOES IT COST? before I ask my doctor for a scrip, or before doc decides what scrip he will give me.

    Just cost me $23 for the equivalent of 10 percoset [i actually got 20 demi-percoset which are lower dose]

    I think I will do a post with the info I found that talks about the different opiods and strenghts.

    Look for it soon.
  8. catgal

    catgal New Member

    Hi Jen~~Packman has the correct information. I have taken oxycontin for three years with percocet for breakthrough pain. The oxy is time-released oxycondone with no aspirin or tylenol in it. The manufacturers say it lasts up to 12 hours and their recommended dosage is 2x's a day. However, it only worked 8 hours for me, and my physician upped it to 3x's a day. I started on the 10mg oxy, and after two years it was upped to 20mgs 3x's a day. Before I had insurance, I paid $206.95 for 90 20mg pills. There is NO generic form of oxycontin. Since I got insurance, I now pay $56.95 for the same amount & dose of oxy. Oxycontin is covered in my insurance plan. I also take 10/325mgs of percocet 3x's a day. It contains 10mgs of oxycondone and 325mgs of tylenol. As yet there is NO generic for the 10mg percocet. Before Insurance I paid $142.95 for 90 pills. With insurance, I now pay $56.34. It is also covered on my insurance plan. Most insurance companies do cover these medications.

    However, I had to inform the pharmacy I use that I would be getting these scripts filled every month so they would have them on hand for me because the first time I tried to get them filled--I ended up having to go to several pharmacies in order to get them filled. Now, my pharmacy carries it for me every month.

    The oxycontin is such a slow release that I never got any kind of a high from it--just a gradual reduction of my pain. The 10mgs percocet is a quick release, lasts about 4 hours, and probably because I already had a level of oxycondone in my system from the oxycontin--I never got any kind of a buzz from the percocet either. Just quick relief.

    After being on the oxycontin and percocet for 3 years, I have developed a physical dependence on them so I am careful to take them as directed so I don't run out the last week of the month.

    The oxycontin requires a new, written script every month with no refills. The physician cannot call it in. So, every month a couple of days before I run out, I have an appointment with my physician, and he writes out a script for the oxycontin and the 10mg percocet.

    I also take Soma (a potent muscle relaxer) 3x's a day; 1mg of Klonopin at night, and 20mgs of Bextra (anti-inflammatory) once a day. These he can call in and gives me refills.

    My physician has me see a Pain Specialist every 6 months for a consult to increase or change my meds, but mostly as backup validation in my chart should the FDA ever question the long-term opioid medications he is prescribing me. And it is actually the Pain Specialist who has upped my meds.

    I have advanced degenerative disc disease with multiple back problems, osteoarthritis, psoriatic arthritis, rheumatoid arthritis, IBS, and FM/CFS. I get adequate pain relief from the oxy & percocet, and they have enabled me to continue working 3 days a week and enhanced the quality of my life. I am 54.

    It is a matter of finding the right meds and dosage for you, and this may take some trial & error. I have no trouble taking the oxycondone, but did have problems with the codiene in T-3's.

    Buy yourself the latest PDR (a bit expensive) or a good drug book so you can look everything up yourself to know you are getting the correct information first hand. I buy an updated "Pill Book" every year plus, since I am a therapist, I always have an updated PDR (Physician's Desk Reference) at my office.

    Take care and hope you get the relief you deserve soon. Blessings, Carol....
  9. Jen F

    Jen F New Member

    including the costs, as that is something I must consider and compare as well...

    Sorry you have advanced DDD and other problems and that you need these meds long term.

    I am hoping my pain will not become a chronic long term thing. My severe neck problem has been debilitating the last 7 weeks or so, and I'm still waiting for referrals, tests and answers. Only xrays done so far and neither the chiro, nor physio, nor GP knows what's best or how long til gets better, but they all think it will. So that's good.

    but then again, they thought it would be better 2 weeks ago, and the pain is worse at times.

    anyways, thanks again, cArol. Jen
  10. garyandkim

    garyandkim New Member

    confusion. I am getting mixed up trying to remember what was said. Oxycontin is time released, if it's not the IRs, which standsfor instant release and is 5mgs, they are supose to last 12 hrs but, they only really last 8 hours and many PM docswill have you take them every 8 hours.The oxycontin goes up to 160mg pills, but the manufacturer is not making the 160's due to the drug addicts so we were told. Gary has to take 2 80's 3 x's pd and oxyirs and Actiq which is Fentanyl and is on a stick. We were also told that the Oxycodone is not Oxycontin has a chemical composition that is different. Non of these have tylenol or asprin and the ones that do are only 5mgs and I believe they are made with the oxycodone.

    I can't take codine I get real sick but, not with Morophine nor any of the Oxy's. Daily Tylenol isn't good for the liver, but for women even worse. It causes other problems which of course I can't remember. I just remember to say no to it daily for for more then a couple weeks at a time.

    Your Pharmasist is the best one to ask they are trained to know, docs are pretty good but, many times gives you the sales reps speach. We ask our doc and then the Pharmasist and if the doc is wrong we give them the info and tell them to. I am allergic to Fentanyl and one of my docs keeps trying to put me on the Duragesic (sp) patch which is Fentanyl. Garys PM Doc says that the combo of Oxycontin and for break through pain Oxyirs and Actiq work well and Gary feels the addition of the Actiq's has really helped.

    Jen, You may want to buy a PDR at the book store and the real one not the little PDR types they sell most places. They arn't cheep around $100.00 and we need to get a new one ours is from 87 and dosen't have all the new drugs. But, you can take it to the docs.

    Good luck and take care, hope this helps some, Kim
  11. Jen F

    Jen F New Member

    I look at it in the doc's office, but with my current neck problem have a lot of trouble lifting it while I am there, let alone carrying it to a doc's office :)

    I would rather not spend $100 on a big book right now, though would be a good idea.

    I have aksed my pharmacist for a bunch of this info, but he doesn't have much knowledge. guess I'm the only client in a lot of pain??? Not only that, he doesn't have a lot of the stuff I have enquired about.

    This is such a time consuming project finding out what options are available, the cost, and what pharmacy has them, and whether or not they come in a formula that can be reduced, such as a pill that can be cut up.

    I made the mistake of biting a demerol in half to take half. i was tired and in pain didn't want to get up to cut it. but, with these meds we have to be careful not to crunch them and absorb a big dose quickly. I felt the demerol in less than 2 minutes. My vision blurred a little and I had trouble typing at the computer. And was not a pleasant sensation as iw ould have hoped. Felt awful.

    I know not to do that again.
  12. garyandkim

    garyandkim New Member

    books, but, they don't have many of the meds we take in them and Oxycontin isn't in them. But, they are good and writen in laymans terms. Hope your neck gets better. Our doc has been giving Botox shots for the neck. But, after 6 weeks 3 x's per week at the chrio's and the stim and moist heat it really amased me that my neck which I couldn't turn to the right for a couple years and the pain went mostly away, but, I also started the Oxyirs near the end but, I do believe it helped. It's been 9 mos since I stopped and my neck still feels better. I also get steriod shots on the top of my upper shoulder area and that has helped also. I also get the shots other places every 3 months. Don't know if your interested in any of those but, thought maybe. We also find those heat pads you stick on I think there called Therma heat, red box help and the heat lasts up to 12 hours.

    Good luck and hope that neck calms down soon, Kim
  13. Jen F

    Jen F New Member

    to me.

    I shall look into both these options, but have challenges:

    I'm in Canada
    Only make it out to Walmart 1ce per year - requires special trip, is not local or convenient


    thanks for the info though.

    In appreciation,

    jen F